泪道激光成形联合置管术治疗复发性泪道阻塞疗效观察

The therapeutic effects of Nd：YAG laser plastic operation combined implantation tube in recurrent lacrimal duct obstruction

目的探讨Nd：YAG激光泪道成形术，联合泪道置管治疗复发性泪道阻塞的临床疗效。方法对76例（91只眼）复发性泪道阻塞采用Nd：YAG激光治疗，并泪道置管3个月，术后定期冲洗泪道。结果随访6～24月，治愈65只眼，占71．4％；好转11只眼，占12．1％，总有效率83．5％。无效15只眼，占16．5％。结论Nd：YAG激光泪道成形术联合泪道置管治疗复发性泪道阻塞效果好，并发症少，操作简单，值得推广应用。

Objective To investigate the therapeutic effects of Nd：YAG laser plastic operation com- bined implantation tube for patients with recurrent lacrimal duct obstruction. Methods Seventy-six patients （91eyes） with recurrent lacrimal duct obstruction were treated by means of Nd：YAG laser,and supporting canal was left in the lacrimal duct for 3 months. Irrigating lacrimal duct was applied regularly. Results After followed up 6-24 months, epiphora of 65 eyes （about71.4% ） was disappear, the symptom of 11 eyes （ about 12.1%） was alleviated,and the total efficiency was 83.5%. The symptom of 15 eyes （about 16.5% ） hadn＇t been changed. Conclusion Nd：YAG laser plastic operation and implantation tube can be used safely and effectively for treating recurrent lacrimal duct obstruction with less complication by simple operation. It＇s worth being promoted.